| NPI | 1063018778 | 
|---|---|
| Former Name | DAVID M CALLAHAN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2020-12-08 | 
| Last Update Date | 2025-07-09 |